CPT code 67808: Eyelid lesion excision, full-thickness lid margin2026 Medicare rate & RVUs in Wisconsin
Reports surgical excision of a non-chalazion eyelid lesion when removal involves the lid margin through its full thickness.
In Wisconsin, Medicare pays $304.17 for 67808 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 67808 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 67808 covers
An ophthalmologist or oculoplastic surgeon uses this code for excision of a non-chalazion eyelid lesion that involves the lid margin through its full thickness. The operative service may be performed in an office procedure room or an operating room. Examples of relevant documentation include the lesion’s eyelid location and the tissue depth and margin involvement that support full-thickness excision.
Choose this code based on the documented extent of the excision, not simply the presence of an eyelid growth or the number of lesions. The note should identify the lesion and describe the full-thickness lid-margin removal and any closure or reconstruction performed. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Wisconsin compares for 67808
Across 109 of 109 payment localities, the facility rate for 67808 runs from $291.18 in Arkansas to $399.46 in San Benito County, CA. Wisconsin pays $304.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wisconsin · this page$304.17
- Los Angeles, CA · California$350.04+$45.87
- Washington, DC area · District of Columbia$356.75+$52.58
- Miami, FL · Florida$344.64+$40.47
- Chicago, IL · Illinois$337.15+$32.98
- Manhattan, NY · New York$361.58+$57.41
- Alaska · Alaska$398.95+$94.78
Other areas in Wisconsin first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $294.33 |
| ArkansasArkansas | — | $291.18 |
| ArizonaArizona | — | $312.67 |
| Bakersfield, CACalifornia | — | $332.40 |
| Chico, CACalifornia | — | $331.20 |
| El Centro, CACalifornia | — | $331.26 |
| Fresno, CACalifornia | — | $331.20 |
| Hanford, CACalifornia | — | $331.20 |
| Madera, CACalifornia | — | $331.20 |
| Merced, CACalifornia | — | $331.20 |
| Modesto, CACalifornia | — | $331.20 |
| Napa, CACalifornia | — | $372.60 |
| Oxnard, CACalifornia | — | $347.42 |
| Redding, CACalifornia | — | $331.20 |
| Rest of CaliforniaCalifornia | — | $331.20 |
| Riverside, CACalifornia | — | $335.27 |
| Sacramento, CACalifornia | — | $344.57 |
| Salinas, CACalifornia | — | $343.19 |
| San Diego, CACalifornia | — | $348.92 |
| Marin County, CACalifornia | — | $391.24 |
| San Francisco, CACalifornia | — | $390.82 |
| San Benito County, CACalifornia | — | $399.46 |
| Santa Clara County, CACalifornia | — | $397.74 |
| San Luis Obispo, CACalifornia | — | $337.95 |
| Santa Cruz, CACalifornia | — | $350.48 |
| Santa Maria, CACalifornia | — | $343.84 |
| Santa Rosa, CACalifornia | — | $353.87 |
| Stockton, CACalifornia | — | $331.20 |
| Vallejo, CACalifornia | — | $372.00 |
| Visalia, CACalifornia | — | $331.20 |
| Yuba City, CACalifornia | — | $331.20 |
| ColoradoColorado | — | $328.45 |
| ConnecticutConnecticut | — | $337.00 |
| DelawareDelaware | — | $316.93 |
| Fort Lauderdale, FLFlorida | — | $331.34 |
| Rest of FloridaFlorida | — | $318.62 |
| Atlanta, GAGeorgia | — | $324.76 |
| Rest of GeorgiaGeorgia | — | $304.73 |
| Hawaii, Guam, HIHawaii | — | $335.62 |
| IowaIowa | — | $298.52 |
| IdahoIdaho | — | $300.24 |
| East St. Louis, ILIllinois | — | $319.29 |
| Rest of IllinoisIllinois | — | $312.61 |
| Suburban Chicago, ILIllinois | — | $334.14 |
| IndianaIndiana | — | $301.50 |
| KansasKansas | — | $298.11 |
| KentuckyKentucky | — | $300.84 |
| New Orleans, LALouisiana | — | $311.73 |
| Rest of LouisianaLouisiana | — | $300.74 |
| Metropolitan Boston, MAMassachusetts | — | $354.56 |
| Rest of MassachusettsMassachusetts | — | $327.52 |
| Baltimore area, MDMaryland | — | $336.10 |
| Rest of MarylandMaryland | — | $321.68 |
| Rest of MaineMaine | — | $302.08 |
| Southern Maine, MEMaine | — | $313.34 |
| Detroit, MIMichigan | — | $322.30 |
| Rest of MichiganMichigan | — | $307.25 |
| MinnesotaMinnesota | — | $315.16 |
| Metropolitan Kansas City, MOMissouri | — | $309.45 |
| Metropolitan St. Louis, MOMissouri | — | $311.80 |
| Rest of MissouriMissouri | — | $297.33 |
| MississippiMississippi | — | $294.27 |
| MontanaMontana | — | $319.29 |
| North CarolinaNorth Carolina | — | $304.33 |
| North DakotaNorth Dakota | — | $311.97 |
| NebraskaNebraska | — | $299.54 |
| New HampshireNew Hampshire | — | $324.20 |
| Northern New JerseyNew Jersey | — | $354.72 |
| Rest of New JerseyNew Jersey | — | $340.95 |
| New MexicoNew Mexico | — | $308.77 |
| NevadaNevada | — | $317.41 |
| NYC suburbs and Long Island, NYNew York | — | $369.17 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $343.57 |
| Queens, NYNew York | — | $362.94 |
| Rest of New YorkNew York | — | $307.79 |
| OhioOhio | — | $305.75 |
| OklahomaOklahoma | — | $299.76 |
| Portland, OROregon | — | $335.97 |
| Rest of OregonOregon | — | $315.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $330.83 |
| Rest of PennsylvaniaPennsylvania | — | $305.76 |
| Puerto RicoPuerto Rico | — | $320.85 |
| Rhode IslandRhode Island | — | $326.01 |
| South CarolinaSouth Carolina | — | $305.53 |
| South DakotaSouth Dakota | — | $311.11 |
| TennesseeTennessee | — | $299.31 |
| Austin, TXTexas | — | $327.31 |
| Beaumont, TXTexas | — | $304.31 |
| Brazoria, TXTexas | — | $316.38 |
| Dallas, TXTexas | — | $318.28 |
| Fort Worth, TXTexas | — | $316.87 |
| Galveston, TXTexas | — | $317.29 |
| Houston, TXTexas | — | $324.06 |
| Rest of TexasTexas | — | $310.11 |
| UtahUtah | — | $308.63 |
| VirginiaVirginia | — | $313.01 |
| Virgin Islands, VIUnited States Virgin Islands | — | $320.85 |
| VermontVermont | — | $311.64 |
| Rest of WashingtonWashington | — | $326.63 |
| King County, WAWashington | — | $360.18 |
| West VirginiaWest Virginia | — | $304.07 |
| WyomingWyoming | — | $316.10 |
67808 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 67808 rate is calculated
Each of 67808’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 67808
RVUs × geographic indexes × conversion factor
Work4.49
4.49 RVUs× 1.000 GPCI
Practice expense4.70
4.70 RVUs× 1.000 GPCI
Malpractice0.37
0.37 RVUs× 1.000 GPCI
Adjusted RVUs
9.5600
Conversion factor
$33.4009
Medicare rate
$319.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Wisconsin inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,493
- Code
- 67808
- Physician work
- 4.49
- Practice expense
- 4.70
- Malpractice
- 0.37
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.000 | 4.4900 |
| Practice expense | 4.70 | × 0.958 | 4.5026 |
| Malpractice | 0.37 | × 0.308 | 0.1140 |
| Total RVUs | 9.1066 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$304.17
Facility: (4.49 × 1 + 4.7 × 0.958 + 0.37 × 0.308) × $33.4009 = $304.17
Payment rules and modifiers for 67808
67808 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67808
Eyelid lesion excision, full-thickness lid margin
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67808
Eyelid lesion excision, full-thickness lid margin
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
67808 without 51 · national facility
$319.31
Eyelid lesion excision, full-thickness lid margin
67808-51 · Second procedure: 50%
$159.66
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 67808 has changed in Wisconsin
67808 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $304.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $304.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $304.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $304.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $338.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $338.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $338.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $338.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $347.81 | RVU24D |
| 2024-07-01 | Not available in this setting | $347.81 | RVU24C |
| 2024-04-01 | Not available in this setting | $347.81 | RVU24B |
| 2024-03-09 | Not available in this setting | $347.81 | RVU24AR |
| 2024-01-01 | Not available in this setting | $342.13 | RVU24A |
| 2023-10-01 | Not available in this setting | $348.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $348.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $348.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $348.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $347.82 | RVU22D |
| 2022-07-01 | Not available in this setting | $347.82 | RVU22C |
| 2022-04-01 | Not available in this setting | $347.82 | RVU22B |
| 2022-01-01 | Not available in this setting | $347.82 | RVU22A |
| 2021-10-01 | Not available in this setting | $349.28 | RVU21D |
| 2021-07-01 | Not available in this setting | $349.28 | RVU21C |
| 2021-04-01 | Not available in this setting | $349.28 | RVU21B |
| 2021-01-01 | Not available in this setting | $349.28 | RVU21A |
| 2020-10-01 | Not available in this setting | $356.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $356.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $356.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $356.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $359.41 | RVU19D |
| 2019-07-01 | Not available in this setting | $359.41 | RVU19C |
| 2019-04-01 | Not available in this setting | $359.41 | RVU19B |
| 2019-01-01 | Not available in this setting | $359.41 | RVU19A |
| 2018-10-01 | Not available in this setting | $361.52 | RVU18D |
| 2018-07-01 | Not available in this setting | $361.52 | RVU18C |
| 2018-04-01 | Not available in this setting | $361.52 | RVU18B |
| 2018-01-01 | Not available in this setting | $361.52 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $358.83 | RVU17D |
| 2017-07-01 | Not available in this setting | $358.83 | RVU17C |
| 2017-04-01 | Not available in this setting | $358.83 | RVU17B |
| 2017-01-01 | Not available in this setting | $358.83 | RVU17A |
| 2016-10-01 | Not available in this setting | $360.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $360.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $360.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $360.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $359.98 | RVU15D |
| 2015-07-01 | Not available in this setting | $359.98 | RVU15C |
| 2015-04-01 | Not available in this setting | $358.19 | RVU15B |
| 2015-01-01 | Not available in this setting | $358.19 | RVU15A |
| 2014-10-01 | Not available in this setting | $370.01 | RVU14D |
| 2014-07-01 | Not available in this setting | $370.01 | RVU14C |
| 2014-04-01 | Not available in this setting | $370.01 | RVU14B |
| 2014-01-01 | Not available in this setting | $370.01 | RVU14A |
| 2013-10-01 | Not available in this setting | $368.57 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Wisconsin rate applies
Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.
- Abbotsford
- Abrams
- Adams
- Adell
- Albany
- Algoma
- Allens Grove
- Allenton
67808 billing questions
How does this differ from code 67810?
67808 is for excision meeting the full-thickness lid-margin criteria. 67810 describes an incisional biopsy, rather than that excisional service.
What documentation supports reporting 67808?
Document the lesion’s eyelid location and that the excision involved the lid margin through its full thickness. Include the extent of tissue removed and any closure or reconstruction performed.
Can modifier 50 be reported for lesions on both eyelids?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not append modifier 50.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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